ChattRiskCoder
Networker
- Messages
- 36
- Best answers
- 0
I know this isnt interventional; however, I did not see a radiology forum. I would be so greatful if someone would view report and tell me what code(s) you would choose and why. I am thinking it should be a 93975.
What are your thoughts? :
RENAL SONOGRAM:
HISTORY: Hypertension. Chronic kidney disease stage III.
FINDINGS: Right kidney measures 14.3 x 7.5 x 7.4 cm, left kidney 12.6 x 5.0 x 5.0 cm. Bilateral grade III hydroureteronephrosis. Right ureter up to 1.9 cm. Left ureter up to 0.9 cm. Cortical thickness is within normal limits for age at 1.4 cm on the right and 1.7 cm on the left.
IMPRESSION: RIGHT KIDNEY 14.3 CM, LEFT KIDNEY 12.6 CM. BILATERAL GRADE III HYDROURETERONEPHROSIS.
DUPLEX DOPPLER ULTRASOUND RENAL ARTERIES WITH RESISTIVE INDICES:
RBSP: 209/98 mmHg
AORTA: 1.5 cm 0.59 m/sec
RIGHT KIDNEY:
Right Renal Artery 6 mm
Velocities (m/sec) P= not/seen M=0.38 D=0.29 m/sec
RI 59
RAR 0.64
Hilar Sampling Velocity 0.40 m/sec
LEFT KIDNEY:
Left Renal Artery 6 mm
Velocities (m/sec) P=0.57 M=0.41 D=0.42 m/sec
RI 71
RAR 0.97
Hilar Sampling Velocity 0.42 m/sec
(RAR <=1.0 = N; >3.5 Critical Stenosis)
(RI: 0.56 to 0.7 = Normal)
RIGHT RENAL VEIN: No pairing 9 mm Spectral Waveform: Normal
LEFT RENAL VEIN: No pairing 9 mm Spectral Waveform: Normal
IMPRESSION: NO SIGNIFICANT RENAL ARTERY STENOSIS.
URINARY BLADDER SONOGRAM:
Nondistended volume 30 cc, postvoid 5 cc. The distal ureters do not appear dilated.
What are your thoughts? :
RENAL SONOGRAM:
HISTORY: Hypertension. Chronic kidney disease stage III.
FINDINGS: Right kidney measures 14.3 x 7.5 x 7.4 cm, left kidney 12.6 x 5.0 x 5.0 cm. Bilateral grade III hydroureteronephrosis. Right ureter up to 1.9 cm. Left ureter up to 0.9 cm. Cortical thickness is within normal limits for age at 1.4 cm on the right and 1.7 cm on the left.
IMPRESSION: RIGHT KIDNEY 14.3 CM, LEFT KIDNEY 12.6 CM. BILATERAL GRADE III HYDROURETERONEPHROSIS.
DUPLEX DOPPLER ULTRASOUND RENAL ARTERIES WITH RESISTIVE INDICES:
RBSP: 209/98 mmHg
AORTA: 1.5 cm 0.59 m/sec
RIGHT KIDNEY:
Right Renal Artery 6 mm
Velocities (m/sec) P= not/seen M=0.38 D=0.29 m/sec
RI 59
RAR 0.64
Hilar Sampling Velocity 0.40 m/sec
LEFT KIDNEY:
Left Renal Artery 6 mm
Velocities (m/sec) P=0.57 M=0.41 D=0.42 m/sec
RI 71
RAR 0.97
Hilar Sampling Velocity 0.42 m/sec
(RAR <=1.0 = N; >3.5 Critical Stenosis)
(RI: 0.56 to 0.7 = Normal)
RIGHT RENAL VEIN: No pairing 9 mm Spectral Waveform: Normal
LEFT RENAL VEIN: No pairing 9 mm Spectral Waveform: Normal
IMPRESSION: NO SIGNIFICANT RENAL ARTERY STENOSIS.
URINARY BLADDER SONOGRAM:
Nondistended volume 30 cc, postvoid 5 cc. The distal ureters do not appear dilated.
